Weight Management

Your $99, no obligation deposit goes toward a comprehensive coaching session, including body composition testing, personalized nutrition planning, fitness tips, and medical review to identify your potential best medication support (not available to Medi-Cal or Medicare patients).

Obesity Phenotypes

More than Just GLP1's

While GLP1 medications are in the spotlight, like Ozempic or Zepbound, evidence shows that people do better when they have treatment for weight loss based on their "obesity phenotype." Whereas "Hungry Brain" types may spend hours at the buffet before getting full, "Hungry Gut" types may get full as normal, only to feel hungry shortly after. Similarly, "Emotional Hunger" types may have eating habits tied to stress, boredom, or other triggers, while "Slow Burn" types put the work in at the gym or in their activity, but their metabolism doesn't yield the desired results. Understanding your unique needs helps us choose the most effective medications to support your journey.

One size does not fit all - especially when it comes to weight management

You've tried diets, fitness fads, and maybe you've even tried weight loss medications. This is not that.

Imaging a program that leverages the power of you. Our team uses evidence-based methods in health and nutrition coaching, detailed body metrics, and a spectrum of medication or supplement offerings to find the long-term solution for your weight management needs.

We've also partnered with experts to take your weight loss beyond the scale. Learn more about how cryotherapy, personal training, and IV hydration can compliment your efforts in health.

Our Weight Program Administrative Fee

What is it?

The $300 administrative fee is charged annually to cover services that are not paid by your insurance.
It is NOT a concierge fee and it is NOT for medical services.
It can be paid in monthly installments if you need financial assistance.
Your $99 program deposit goes toward the administrative fee if you proceed with our program.

Why is this charge necessary?

Private practice is difficult to sustain in this medical climate. Many doctors have opted to become employees of hospitals rather than deal with dwindling insurance reimbursements and huge overheads.
Insurance denials have increased for weight loss medications, forcing us to spend more (wo)man-hours fighting for you to receive the appropriate care that you need and deserve.
Patients appreciate that our program offers care delivered via patient communication portals (emails, phone calls and texts) which are not paid by your insurance.
In California, it is especially difficult to obtain weight-loss medications outside of insurance, which was formerly done with GLP1 medications in compounding pharmacy. The FDA has revoked the emergency shortage designation that made these more accessible by compounding. The alternative is to pay full price out of pocket in the event of insurance denials.

What does this fee include?

Peer-to-peer reviews when you get an insurance denial for any reason (most commonly for medications).
Online portal access/communication with your provider 24-7. We guarantee a reply within 1-2 business days with electronic communications, and within 1 business day for phone calls.
Expedited appointments (for emergencies only).
Priority for off-hours appointments (dependent on clinician availability).
Expedited medication refill requests
Early access to local fitness and educational events led by our care team.

What if I'm already in the program?

We appreciate you entrusting us with your health! We've had many successes with our weightloss patients, and we want to keep the momentum going.
Existing patients on weightloss medications will not incur additional fees for 2025.
Those wishing to continue the program for 2026 will be charged the $300 administrative fee on or after Jan 1, 2026.

Restore your essence at Essence Health.

Dr. Aldene Zeno and her team understand the importance of maintaining healthy body weight to meet your overall health goals. No other treatment has been shown to regulate menstrual cycles, decrease breast cancer risk, improve bladder control, decrease joint pain, improve menopause management, and more. Getting rid of excess body weight can. That's why we go the extra mile to provide solutions and results in a setting that's medically safe, personalized, and at your pace.